Robert Stefanko, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

6923 Issued in NV

Practice address

2001 Errecart Blvd
Elko, NV 89801-8333

Phone

(775) 777-0935

Fax

(775) 777-0937

NPI assigned

Jul 13, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crum,Stefanko and Jones LTD

  dba Ruby Crest Emergency Medicine

  • Emergency Medicine Physician
  • Elko, NV
  • NPI 1285645515
  Medicare reassignment NPD
• Kurt O Doggwiler MD PHD LTD

  dba Northeastern Nevada Imaging Associates

  • Diagnostic Radiology Physician
  • Elko, NV
  • NPI 1104927300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1346265030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD STE 208",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018337",
            "telephone_number": "775-777-0935",
            "fax_number": "775-777-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-777-0935",
            "fax_number": "775-777-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANKO",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "6923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56996197002",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636863",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Starkey
• State of Nevada (Elko Mental Health Center)
• State of Nevada (Elko Mental Health Center)
• Katherine Francis Steele, PA-C
• Tracy Steele
• Christopher Wendell Stephen
• Shelly Lynn Stephenson
• Jaime Stepp
• Marie Therese Sterkel-Munson, MS, CCC-SLP
• Kaylani Lillian Stevens

• Emergency Medical Services (Emergency Medicine) Physician in Elko, NV
• Providers in Elko, NV by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.